Medicine and Health Sciences Commons^™

School Personnel Perceptions Of School-Based Mental Health Prevention And Interventions, Kelsey Lytle

Masters Theses & Specialist Projects

Despite millions of children across the United States experiencing at least one mental health disorder about half do not receive any sort of treatment or counseling. Within schools, many children receive formal intervention services once they are identified. However, there are many other children who would benefit greatly from learning social emotional skills who have not been identified. Prevention could be a great resource to prevent children from falling through the cracks. The purpose of this study was to assess personnel perceptions on the school’s role in student mental health, mental health interventions and prevention, evidence-based practices, and barrier to …

Help-Seeking For Problematic Alcohol Use: Stigma, Shame, & Guilt, Olivia G. Chapell

2025 Honors Symposium

Stigmatization is a prevalent barrier to help-seeking behaviors in problematic alcohol users, especially among college-aged students. By using a cross-sectional electronic survey method, the relationship between personal or immediate family experience with substance-related treatment and perceptions of stigmatization was assessed.

The Birth Experience During The First Wave Of Covid-19 Lockdown In New York Hospitals: A Qualitative Study, Emily Morse Small M.S.

Selected Full Text Dissertations, 2011-

In 2020, alongside the onset of the SARS-CoV-2 (COVID-19) pandemic, 209,338 births occurred in New York State (Osterman et al., 2022). While much of the public adjusted to working or learning in a virtual world, many hospitals in New York remained open to treat those in need of care. Women nearing the end of their pregnancy, many of whom felt that they had no other choice, found themselves headed to the hospital—to the labor and delivery unit. Many studies completed outside of the United States on the birth experience during the pandemic found an increase in the likelihood of negative …

"Dental Health For Mental Wealth": A Comprehensive Analysis Of The Underexplored Impact Of Oral Health And Behaviors On Neurobiology And Psychological Well-Being, Brooke C. Beck

Mahurin Honors College Capstone Experience/Thesis Projects

This thesis explores the link between oral health and psychological state, specifically, the effect of oral health on psychological state and how appropriate oral health impacts this relationship. A review of the literature was conducted and studies interpreted within the scope of oral health’s impact on psychological health and detailing some of the pathways proposed for such a link. The literature search was limited to the English language from well-known databases mainly from 2015 to 2025. A few outliers are present to include foundational information.

The effects of oral disease and oral self-care behaviors were dissected through a biochemical perspective, …

A Cross Attention Approach To Diagnostic Explainability Using Clinical Practice Guidelines For Depression, Sumit Dalal, Deepa Tilwani, Manas Gaur, Sarika Jain, Valerie L. Shalin, Amit P. Sheth

Psychology Faculty Publications

The lack of explainability in using relevant clinical knowledge hinders the adoption of artificial intelligence-powered analysis of unstructured clinical dialogue. A wealth of relevant, untapped Mental Health (MH) data is available in online communities, providing the opportunity to address the explainability problem with substantial potential impact as a screening tool for both online and offline applications. Inspired by how clinicians rely on their expertise when interacting with patients, we leverage relevant clinical knowledge to classify and explain depression-related data, reducing manual review time and engendering trust. We developed a method to enhance attention in contemporary transformer models and generate explanations …

Exploring Factors Associated With Adverse Childhood Experiences And The Development Of Posttraumatic Stress Symptoms Among Children And Adolescents, Ayesha Qureshi, Sarah Delahanty Phd, Sima Sharghi Phd, Lisa Shauver Ms, Ayla Mapes Phd

Williams Honors College, Honors Research Projects

Adverse Childhood Experiences (ACEs) have a significant influence on long term mental and physical health risks, including the development of Posttraumatic Stress Symptoms (PTSS). The current study examined the association between demographic and geo-coded environmental factors and ACE exposure and PTSS development among pediatric patients seen in a behavioral health department at a children’s hospital. Geo-coded factors included Child Opportunity Index (COI scores) and Rural Urban Area Commuting Codes (RUCA). ACE-related factors (type of ACE, ACE overall score) were also included when examining PTSS. Machine learning results indicated that models incorporating environmental data and ACE-related factors performed better than models …

Understanding The Intersection Between Alaska Native And Military Cultural Identities: Using Arts-Based Narrative Inquiry With Mixed Methods, Leslie M. Robertson

Art Therapy | Doctoral Dissertations

American Indian and Alaska Native (AI/AN) peoples have contributed significant efforts towards involvement in the military and have served in the Armed Forces at five times the national average. AI/AN peoples have served with distinction in every major conflict for over 200 years. There has been a pervasive and historical lack of recognition for their service and a lack of awareness of the intersection between Indigenous and military cultures (Ault, 2020; Bennett, 2009; Department of Veterans Affairs, 2020; Harris & Hirsch, 2020; Holm, 2010; Krouse, 2007; Marston, 1972; Nalewicki, 2021; NICOA, 2019; Viola, 2008; Wooda et al., 2021).

This study …

Excitation And Polarization Of Isolated Neurons By High-Frequency Sine Waves For Temporal Interference Stimulation, Iurii Semenov, Vitalii Kim, Giedre Silkuniene, Andrei G. Pakhomov

Bioelectrics Publications

The capacity of temporal interference (TI) stimulation to target deep brain regions without affecting nearby surface electrodes remains uncertain. Using artifact-free optical recording, we compare excitation patterns and thresholds in hippocampal neurons stimulated by “pure” and amplitude-modulated sine waves, representing TI waveforms near electrodes and at the target, respectively. We show that pure 2- and 20-kHz sine waves induce repetitive firing at rates that increase up to 60–90 Hz with stronger electric fields. Beyond this limit, action potentials merge into sustained depolarization, resulting in an excitation block. Modulating the sine waves at 20 Hz aligns firing with amplitude “beats” and …

Preliminary Evaluation Of A Brief Intervention To Enhance Trauma-Informed Attitudes Among Educators And School Mental Health Counselors, Cheri Shapiro, Kara Lee, Courtnie Collins, Tristan Collier, Carl Sorensen

Publications

Professional development training designed to advance knowledge of the impacts of trauma and trauma-responsive practices for educators and counselors in schools and mental health settings have become common. Given the popularity of these training approaches, it is important to understand the potential impact on trauma-informed attitudes and beliefs. This descriptive, exploratory study examined changes in traumainformed care attitudes as a function of participating in a novel intervention designed to support trauma-informed practices in a sample of elementary school educators, administrators, and school mental health counselors (n=194) from one state in the Southeastern US. Positive changes in trauma-informed attitudes from pre …

Barriers And Facilitators To Accessing Mental And Physical Health Care Among Sexual Minority Women: A Qualitative Exploration, Charlotte A. Dawson, A. Moulder, Kristin E. Heron

Department Psychiatry & Behavioral Science Faculty Publications

Cisgender sexual minority women (SMW, e.g., lesbian, queer) are at greater risk for poor mental and physical health compared to heterosexual women and face challenges when accessing health care. Previous research has largely focused on general sexual and gender minority barriers to health care, but more research is needed on the experiences of specific subgroups, including cisgender SMW. The current study qualitatively explored barriers and facilitators for cisgender SMW seeking health care. Twenty cisgender SMW aged 18-40 recruited using Meta advertisements and past participant lists completed 45 min semi-structured interviews and a brief survey. Thematic analysis conducted by two coders …

Igf-1 As A Biomarker For Symptom Severity In Adult Traumatic Brain Injury: Evidence From An Observational Study, Justin Weppner, Kimberly Rosenthal, Jennifer Bath, Tonja Locklear, Melissa Martinez

Department of Physical Medicine & Rehabilitation Faculty Publications

Traumatic brain injury (TBI)-related growth hormone deficiency is often undertreated, despite documented physical, metabolic, and neuropsychiatric effects. Insulin-like growth factor (IGF-1), with neuroreceptors located in brain regions responsible for learning, memory, and mood, regulates cerebral blood flow, neurogenesis, and neuroplasticity. The aim of this study was to determine associations between IGF-1 levels and post-TBI symptom severity, anxiety, and depression. This retrospective observational study at an Academic Brain Injury Center included participants evaluated 3-12 months post-TBI with available IGF-1 values and complete Rivermead Post-Concussion Symptoms Questionnaire (RPQ-13), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9) responses. Patients under 18 or …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Exploring Factors Influencing Posttraumatic Growth Among Nurses: A Path Analysis, Shinhi Han, Hee Sun Kang, Koun Eum, Kathleen Karsten, Faith Armstrong

Publications and Research

Introduction: Persistent exposure to the COVID-19 pandemic has subjected frontline nurses to heightened levels of collective traumatic syndromes, including stress, burnout, and emotional distress. Resilience and self-compassion may serve as protective factors in mitigating stress and burnout stemming from the pandemic. Moreover, these factors may contribute to posttraumatic growth (PTG), which has been recognized as a potential outcome for nurses caring for patients. This study aimed to investigate the factors contributing to PTG among registered nurses, with perceived stress, burnout, resilience, and self-compassion.

Methods: This cross-sectional observational survey used convenience sampling with 228 registered nurses from New York. Data were …

Developing Staff Training Modules To Enhance Neurodiversity-Affirming Care In An Inpatient Psychiatric Setting, Haley Morris

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Introduction: Individuals with autism spectrum disorder (ASD) are admitted to psychiatric hospitals at higher rates and for longer durations compared to neurotypical individuals (Kuriakose et al., 2018). Externalizing behaviors, such as aggression and self-injury, significantly increase hospitalization risk, yet standard psychiatric interventions (e.g., traditional process groups) are often ineffective for this population. A key barrier is the lack of ASD-specific training among hospital staff (Siegel & Gabriels, 2012). This capstone project aimed to address this gap by developing and implementing an educational training program to improve patient-centered, neurodiversity-affirming care across all inpatient psychiatric units. The primary aims were to: …

Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio

Nursing | Senior Theses

Background: Kidney transplantation is the best solution to save lives for those that have end-stage renal disease. However, psychosocial issues play a huge role in their quality of life after the procedure which can affect these individuals negatively. These issues recipients face include depression and anxiety, a lack of social support, and self management difficulties. Objective: This research consists of investigating psychosocial factors that affect kidney transplant recipients’ quality of life. Evidenced by research, focused assistance with ongoing support in patients is essential after receiving surgery and recovery. A literature review was conducted that consists of research on studies with …

Mistrust Among Injured Immigrant Workers: A Conceptual Framework, Maude Arsenault, Daniel Côté, Jessica Dubé

Revues de littérature, synthèses de connaissances

Background

In Quebec, injured workers have access to medical assistance, wage replacement indemnities, and rehabilitation measures, with most injuries resolved easily. However, a small percentage of cases require a lengthy rehabilitation process, which is particularly complex when involving immigrants. The therapeutic alliance is at the heart of the process, involving mutual trust and confidence and a degree of consensus about the therapeutic interventions to be used and, ultimately, the return to work.

Objective

This article delves into the concept of mistrust as more than the absence of trust, and sheds light on its role in the rehabilitation process of immigrant …

Factors Affecting The Joy Of Life In Old Age: A Scale Development Study, Yalçın Karagöz, Yusuf Karaşi̇n, Mustafa Filiz, Mehmet Ateş

Adultspan Journal

This study aims to introduce a measurement tool into the literature that can reveal the factors affecting the joy of life in older adulthood. Participants included 266 individuals aged 55 and over living in Izmir, Turkey. The process of developing the scale includes the following stages: problem identification, item pool creation, expert opinion, form shaping, pilot application, and finalizing the scale. The exploratory factor analysis revealed that the scale consists of 6 different dimensions, and the variance explained by these dimensions was found to be 65.184%. The acceptable values for the scale's fit indicators are as follows: χ²/df0.90, IFI > 0.90, …

A Comparative Analysis Of Perineuronal Nets In Trout And Zebrafish Models, Adnan Alyan

Cal Poly Humboldt theses and projects

Perineuronal nets (PNNs) are specialized extracellular matrix structures that surround certain types of neurons in the central nervous system. Research from the past few decades has cemented PNNs as an integral player in the closure and onset of critical periods, memory modulation, and neural plasticity. These effects are thought to occur when PNNs form around a neuron and structurally stabilize its synaptic connections. PNNs have been directly linked to behavioral changes, making them of interest to psychologists as well as neuroscientists. Several PNN components, such as Hapln1 and aggrecan such as have been found in zebrafish, a teleost fish (Kang …

Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner

Masters Theses

Autism Spectrum Disorder (ASD) is characterized by difficulties in socialization, communication, and developing relationships with others. While many autistic individuals desire to start relationships with others, many do not have a very strong understanding of the use of nonverbal communication or how to develop these connections organically. As autistic individuals have become more open about wanting these resources to form social and romantic relationships, there has been more of a push in the literature to include social skills training for forming social relationships. However, the research on the desire for or development of romantic relationships for autistic individuals is still …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

Examining Multiple Stakeholder Perspectives On The Acceptability Of Pain-Mitigation As A Tool To Manage Needle Fear, Sarah C M Morton

Theses and Dissertations

Needle fear affects up to 63% of the global adult population and is associated with significant fear-based medical care avoidance (e.g., blood donation refusal, vaccine hesitancy, insulin injection adherence). Current behavioral treatments have low acceptance in this population, and often fail to address the experience of pain associated with needle procedures. Despite the existence of evidence-based pain-mitigation for needle procedures, these interventions are not commonly used in clinical settings. The current study used qualitative methods to examine patient and provider perceptions of: 1) current methods of needle fear management, and 2) the acceptability of pain-mitigation as an effective tool to …

Improving Telehealth Education And Training: A Needs Assessment Of Healthcare Providers And Trainees, Conor Duffy

Theses and Dissertations

Telehealth utilization has increased dramatically since the start of the COVID-19 pandemic. There are many positive impacts of this shift to telehealth, including increasing access to care and reducing patient burden. However, healthcare providers report several consistent challenges that limit their ability to deliver telehealth, such as effective communication, technological difficulties, and difficulty performing physical examinations. To address these concerns, it is necessary to integrate telehealth education and training into healthcare professional training programs and healthcare systems. While many institutions have implemented telehealth education and training since the start of the pandemic, there is little consistency in the content, duration, …

The Geography Of Care: Rural Versus Urban Caregiver Perspectives On Community Resources For Parkinson’S Disease Management, Rebecca Jones

Murray State Theses and Dissertations

This qualitative study investigated the experiences and perceptions of caregivers for individuals with Parkinson's disease (PD) in rural versus urban settings, with particular emphasis on their access to and utilization of community resources. Through semi-structured interviews with 30 caregivers, the research explored how geographical location impacts caregiving challenges, support systems, and resource accessibility. Using Andersen's Behavioral Model of Health Services Use as a theoretical framework, the study revealed both universal caregiving challenges and location-specific barriers. While all caregivers reported significant emotional burden and healthcare system navigation difficulties, rural caregivers faced distinct challenges related to resource accessibility and specialized care availability. …

Identifying Intangible And Biocultural Heritage Elements Toward Environmental Understanding: Engaging Stakeholders Through Art, Martha B. Lerski

Publications and Research

Grounded in a case study in Barbuda in the Caribbean, this research examines sustainability from the perspective of what arts and heritage can contribute to community engagement and local and broader understandings about the environment. This article documents a growing body of literature recognizing the role of arts and culture, including local knowledge and traditional ecological knowledge (TEK), in climate change endeavors. Art and TEK present expansive world views. Contextual information situates research done on the island of Barbuda pre- and post-Hurricane Irma. Visual arts workshops engaged community members in mixed methods research. Results documented cultural elements, particularly intangible and …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …

Ministry Organization Response To The Mental Health Crisis, Bryn L. Wood

Senior Honors Theses

The mental health crisis has been negatively affecting individuals across the globe for about half a century, only growing in its impact each year. However, following the Covid-19 pandemic, mental health crises skyrocketed. This is especially true for youth and young adults as physical isolation has altered many facets of their lives. This thesis will explore the mental health crisis, as well as the way it has impacted youth and young adult organizations. Specifically, it will discuss research on recommended ways for these organizations to respond to the mental health crisis through unique programming and how these practices have been …

Exploring The Mental Impact Of End-Of-Life Care Exposure On Neonatal Nurses: Perspectives And Insights, Kaith Monterroso

Nursing | Student Research Posters

Purpose: This research investigates education interventions aimed to improve neonatal nurses’ knowledge in End-of-Life Care (EoLC), with a goal in improving their mental health using coping strategies. This study seeks to, in the end, deliver effective sensitive and comprehensive care during EoLC. Improved education in this area is expected to enhance higher quality of care while fostering better mental health outcomes for nurses themselves. Methods: The proposed research utilizes a pre- and post-test design to evaluate the effectiveness of education and training in nurses who have a minimum of 3 to 4 years of experience in the Neonatal Intensive Care …

Evaluation Of Therapist Modeling To Decrease Latency To Exercise Initiation, Darci L. Davis, Kayla Randall

Honors College Theses

Patients recovering from traumatic brain injury (TBI) or other adverse health events (e.g., hip surgery) often require physical therapy (PT) to restore baseline function. However, individuals with mild cognitive impairment (MCI) or dementia may have difficulty engaging in therapy due to deficits in attention, imitation skills, and motor performance. Enhancing participation in this population is essential for achieving functional recovery and return to baseline status. This study aimed to determine whether systematic model prompting could decrease latency to compliance and increase the level of completion of therapeutic exercises in short-term rehabilitation settings. A multiple-baseline single-case design with time-lagged and staggered …

Improving Adherence In Adolescent Kidney Transplant Recipients, Kaylen Munoz

Nursing | Student Research Posters

Background: Adolescent and young adult (AYA) kidney transplant recipients face unique challenges in maintaining long-term graft function and overall health. Nonadherence to immunosuppressive therapy and difficulties transitioning from pediatric to adult care contribute to the increased risk of graft failure in this population. Despite proposed tools identifying adherence barriers, there is a lack of implementation and targeted interventions addressing the barriers AYA transplant recipients face. Purpose: This study aims to evaluate the effectiveness of a structured transition program that utilizes an adherence barrier tool and adherence-promoting interventions in improving health outcomes for adolescent and young adult (AYA) kidney transplant recipients. …